Hemichorea

An unusual manifestation of thyrotoxicosis

S. Raghavendra Rao, Shubha Seshadri, N. Karthik Rao, Navin Patil, Sushil Kiran Kunder, A. Avinash

Research output: Contribution to journalArticle

Abstract

Chorea is usually associated with neurological diseases. However, it can also be seen in patients with systemic lupus erythematosus (SLE), rheumatic fever (Sydenham’s chorea), polycythemia vera, and thyrotoxicosis. Here, we report an interesting case of hemichorea in a 32-year-old lady, who presented with acute onset of jerky, non-repetitive involuntary movements of the left upper and lower limbs. After detailed evaluation, she was found to have thyrotoxicosis. Thyroid Tc-scan showed diffuse uptake suggesting Grave’s disease. A magnetic resonance imaging of the brain was normal. Other causes of chorea like SLE and rheumatic fever were excluded. She was started on carbimazole. On follow-up after 6 weeks of therapy, there was the complete disappearance of chorea, and her thyroid hormone levels were normal.

Original languageEnglish
JournalAsian Journal of Pharmaceutical and Clinical Research
Volume9
Issue number2
Publication statusPublished - 01-03-2016

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Chorea
Thyrotoxicosis
Rheumatic Fever
Systemic Lupus Erythematosus
Carbimazole
Polycythemia Vera
Graves Disease
Dyskinesias
Thyroid Hormones
Lower Extremity
Thyroid Gland
Magnetic Resonance Imaging
Brain
Therapeutics

All Science Journal Classification (ASJC) codes

  • Pharmacology
  • Pharmaceutical Science
  • Pharmacology (medical)

Cite this

Raghavendra Rao, S. ; Seshadri, Shubha ; Karthik Rao, N. ; Patil, Navin ; Kunder, Sushil Kiran ; Avinash, A. / Hemichorea : An unusual manifestation of thyrotoxicosis. In: Asian Journal of Pharmaceutical and Clinical Research. 2016 ; Vol. 9, No. 2.
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Hemichorea : An unusual manifestation of thyrotoxicosis. / Raghavendra Rao, S.; Seshadri, Shubha; Karthik Rao, N.; Patil, Navin; Kunder, Sushil Kiran; Avinash, A.

In: Asian Journal of Pharmaceutical and Clinical Research, Vol. 9, No. 2, 01.03.2016.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Hemichorea

T2 - An unusual manifestation of thyrotoxicosis

AU - Raghavendra Rao, S.

AU - Seshadri, Shubha

AU - Karthik Rao, N.

AU - Patil, Navin

AU - Kunder, Sushil Kiran

AU - Avinash, A.

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AB - Chorea is usually associated with neurological diseases. However, it can also be seen in patients with systemic lupus erythematosus (SLE), rheumatic fever (Sydenham’s chorea), polycythemia vera, and thyrotoxicosis. Here, we report an interesting case of hemichorea in a 32-year-old lady, who presented with acute onset of jerky, non-repetitive involuntary movements of the left upper and lower limbs. After detailed evaluation, she was found to have thyrotoxicosis. Thyroid Tc-scan showed diffuse uptake suggesting Grave’s disease. A magnetic resonance imaging of the brain was normal. Other causes of chorea like SLE and rheumatic fever were excluded. She was started on carbimazole. On follow-up after 6 weeks of therapy, there was the complete disappearance of chorea, and her thyroid hormone levels were normal.

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